JESSICA GREEN-WAGNON (NPI# 1518314749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518314749 |
| Entity Type | Individual |
| Full Name | JESSICA GREEN-WAGNON |
| Practice Address |
138 S. Main Afton OK 74331-1822 |
| Practice Telephone | 9182574244 |
| Practice Fax Number | 9182574247 |
| Mailing Telephone | 9182574244 |
| Mailing Fax Number | 9182574247 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 103176 | OK | Nursing Service Providers |
| Street Address |
138 S. MAIN |
| City | AFTON |
| State | OK |
| Zip Code | 74331-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920152 | Debra Maxton Miller | Counselor | 138 S. Main, Afton, OK 74331 | 2006-06-14 |
| 1548760705 | Jamey Andrew Olson | Peer Specialist | 138 S. Main, Afton, OK 74331-1822 | 2018-02-14 |
| 1134635758 | Eddie L Knox Jr. | Case Manager/Care Coordinator | 138 S. Main, Afton, OK 74331-1822 | 2017-12-19 |
| 1740649862 | Angela Britt | Peer Specialist | 138 S. Main, Afton, OK 74331-1822 | 2016-02-17 |
| 1538533690 | Dawn Marie Deknight | Registered Nurse | 138 S. Main, Afton, OK 74331-1822 | 2015-11-30 |
| 1013394634 | Frankie Stewart | Peer Specialist | 138 S. Main, Afton, OK 74331-1822 | 2015-05-04 |
| 1114314168 | Kelli Coble | Counselor | 138 S. Main, Afton, OK 74331-1822 | 2015-04-16 |
| 1326443235 | Angie Hay | Peer Specialist | 138 S. Main, Afton, OK 74331 | 2014-11-04 |
| 1336550797 | Jennifer Osburn | Registered Nurse | 138 S. Main, Afton, OK 74331-1822 | 2014-05-19 |
| 1417270125 | Regina Lynn Harris | Counselor | 138 S. Main, Afton, OK 74331-1822 | 2010-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114575 | Tena Kennon | Technician | 54301 East 250 Road, Afton, OK 74331 | 2019-09-23 |
| 1376920660 | Dayspring Community Services | Community/Behavioral Health | 3 Southeast 1st St, Afton, OK 74331 | 2015-05-06 |
| 1578742383 | Chiropractic Associates of Miami | Clinic/Center | 30650 S. Lakeside Dr., Afton, OK 74331 | 2007-10-29 |
| 1174735088 | Integrity Emergency Medical Services of Oklahoma LLC | Ambulance | 104 Sw 1st Street, Afton, OK 74331 | 2007-05-04 |
| 1043371198 | Courtland Prentice Smith Jr. | Otolaryngology | 26300 South Hwy 125, Afton, OK 74331 | 2006-12-13 |
| 1639654429 | Sheena Nidiffer | Peer Specialist | 138 S. Main St, Afton, OK 74331 | 2018-09-27 |
| 1003397084 | Jaime Joseph Siegmann | Peer Specialist | 138 S Main St, Afton, OK 74331 | 2018-08-27 |
| 1730674508 | Caleigh Nichols | Social Worker | 138 S Main St, Afton, OK 74331 | 2018-06-25 |
| 1326539768 | Tim R Lucas | Peer Specialist | 138 S Main, Afton, OK 74331 | 2018-05-22 |
| 1043726607 | Rebecca Zinn | Peer Specialist | 138 S Main, Afton, OK 74331 | 2017-12-19 |
| Find all providers in zip 74331 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811363955 | Ashley Hall | Registered Nurse | 125 South Washington, Afton, WY 83110 | 2015-08-12 |
| 1629570569 | Mandy Phillips | Registered Nurse | 138 South Main, Afton, OK 74331-1822 | 2018-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1003414459 | Valerie Lynn Upshaw | Registered Nurse | 2724 W 68th St, Tulsa, OK 74132-1748 | 2020-10-16 |
| 1174121248 | Rhonda Jo Deramus | Registered Nurse | 312 W Deramus Ln, Broken Bow, OK 74728-6102 | 2020-10-12 |
| 1629685078 | Sherifat Omobola Raimi | Registered Nurse | 8809 Nw 84th St, Oklahoma City, OK 73132-4058 | 2020-09-29 |
| 1679180699 | Whitney Michelle Simmons | Registered Nurse | 2109 Silver Fox Dr, Edmond, OK 73003-6231 | 2020-09-24 |
| 1508479304 | Angela Renee Gunn | Registered Nurse | 35620 Ew 1260, Seminole, OK 74868-6903 | 2020-08-31 |
| 1285245258 | Katherine M Morgan | Registered Nurse | 4731 Judy Dr, Del City, OK 73115-3815 | 2020-08-13 |
| 1437768561 | Darrin Lashae Rupp | Registered Nurse | 1624 E Cimarron Dr, Stillwater, OK 74075-7304 | 2020-07-24 |
| 1447868849 | Cammie Ladawn Wyckoff | Registered Nurse | 1500 Cookson Dr, Ponca City, OK 74604-4109 | 2020-07-21 |
| 1952929515 | Tasha Shea Smith | Registered Nurse | 2225 N. Union, Ponca City, OK 74601-1536 | 2020-07-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.